Life, Death, and Pizza

Poem by Nayyirah Waheed


Tonight I ate pizza for dinner.

It isn’t often, but whenever I do, I remember this girl that I was in eating disorder treatment with. She was there for anorexia and bulimia, and she discharged halfway through my stay. She seemed to be in a really good place.

I found out later through mutual friends that two weeks after she discharged, she attempted suicide.

She slit her wrists after eating three pieces of pizza.

Notice I didn’t say “because” she ate the pizza. She didn’t try to kill herself over that. If you’ll forgive the metaphor, the pizza was just the trigger on an already loaded gun- a girl with a deadly psychiatric disease in a crisis state.

Eating disorders have the highest mortality rate of any psychiatric disorder. At 20%,  that means 1 in 5 of us die. Many of those deaths are suicides. Anorexia, bulimia, binge eating disorder, orthorexia, and eating disorders “not otherwise specified” (aka OSFED) are all deadly, cunning, terrifyingly insidious diseases that need comprehensive treatment to combat. A custom combination of physical medicine, psychiatric medicine, nutritional care, psychological counseling, life skills, and spiritual care (among other treatment options) is essential for helping people get into solid, lasting recovery. With proper treatment, that mortality rate drops to 4%.

As I ate pizza for dinner tonight, I reflected on a time when dying because I ate too much of the “wrong” food seemed reasonable. I remembered a time when that girl’s decision made some sense to me.

And I thanked God for the fact that it no longer does. 

Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes? 

Matthew 6:25

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